| 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) |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2022-10-17 |