| NPI | 1568449643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01089089A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G5753) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2022-12-06 |