| NPI | 1417119272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01069282A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2008014117) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-07-09 |