| NPI | 1730161241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01040761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 26042) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2009-12-03 |