| NPI | 1366422529 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01061694A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 15466R) | 
| 207L00000X Anesthesiology (Licence: IN 01061694A) | |
| Enumeration Date | 2006-01-21 | 
| Last Update Date | 2025-06-25 |