| NPI | 1609847391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01060256A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME158619) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-12-21 |