| NPI | 1821301268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01075343A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010017740) |
| 207L00000X Anesthesiology (Licence: IN 11016800) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-02-22 |