| NPI | 1821331703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01080119A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 288346) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-04-21 |