| NPI | 1831415926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01077461A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 47183) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-03-28 |