| NPI | 1972861961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01085767A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 40002) |
| 207L00000X Anesthesiology (Licence: GA 69640) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2021-07-30 |