| NPI | 1265134829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01097117A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11023460A) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-06-25 |