| NPI | 1568583334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01070582A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME106878) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-10-20 |