| NPI | 1932562089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01083540A) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY P95998) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-07-15 |