| NPI | 1679894059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01078556A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2012018691) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2023-11-27 |