| NPI | 1396162467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088916A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 295040) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-11-01 |