| NPI | 1134446263 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01074085A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 55448) | 
| Enumeration Date | 2010-04-29 | 
| Last Update Date | 2024-10-23 |