| NPI | 1952341604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: IN 01040428A) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 01040428A) |
| 207L00000X Anesthesiology (Licence: IN 01040428) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-10-21 |