| NPI | 1679870042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01035263a) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01035263a) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-04-20 |