| NPI | 1548267149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088343A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 29778) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2022-12-05 |