| NPI | 1699739839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01064444A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD419975) |
| 207L00000X Anesthesiology (Licence: SC 18146) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-10-03 |