| NPI | 1144227349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01056276A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 86791) | 
| Enumeration Date | 2005-07-01 | 
| Last Update Date | 2022-10-17 |