| NPI | 1629211776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01074781A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 46195) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2016-02-03 |