| NPI | 1487920823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01075583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061955) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2016-08-26 |