| NPI | 1497798052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 154277) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01037584) |
| 207R00000X Internal Medicine (Licence: FL 154277) | |
| 207R00000X Internal Medicine (Licence: IN 01037584) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-02-29 |