| NPI | 1881885143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01065409A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.143172.MIL) |
| 208000000X Pediatrics (Licence: IN 01065409A) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-03-01 |