| NPI | 1972791051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01059208A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 10908) |
| 207L00000X Anesthesiology (Licence: MD D0067636) | |
| 207L00000X Anesthesiology (Licence: TN 15811) | |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2011-06-10 |