| NPI | 1366183972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01100315A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301513105) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-06-01 |