| NPI | 1306587266 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 11022758A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5151015444) | 
| Enumeration Date | 2022-04-05 | 
| Last Update Date | 2023-06-26 |