| NPI | 1568402659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01058014A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01058014A) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |