| NPI | 1225415854 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02007233A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 007990) | 
| Enumeration Date | 2015-05-04 | 
| Last Update Date | 2023-08-15 |