| NPI | 1700901915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01090848A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2741) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-09-06 |