| NPI | 1437798063 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-17409) | 
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: AR E-17409) | 
| Enumeration Date | 2019-12-30 | 
| Last Update Date | 2025-03-04 |