| NPI | 1407291289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD198247) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01078363A) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-08-07 |