| NPI | 1891102091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02005124A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 956532) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2021-05-12 |