| NPI | 1659303543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01074054A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.067201) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-09-07 |