| NPI | 1871718684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01096606A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301101654) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-05-05 |