| NPI | 1861428732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01061798A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 35451) |
| 207P00000X Emergency Medicine (Licence: IN 01061798A) | |
| 207Q00000X Family Medicine (Licence: KY 35451) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-05-22 |