| NPI | 1679816128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01076655A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.023739) |
| 207R00000X Internal Medicine (Licence: OH 1679816128) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-10-10 |