| NPI | 1659384220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01069502A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046653) |
| 207R00000X Internal Medicine (Licence: FL ME99186) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-12-11 |