| NPI | 1922041615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01050912A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01050912A) |
| 207L00000X Anesthesiology (Licence: MI 4301090162) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01050912A) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-01-09 |