| NPI | 1558349845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: IN 01053919A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M3893) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2025-09-22 |