| NPI | 1821358730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01076605A) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10043025) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-02-15 |