| NPI | 1588646079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01034051) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01034051) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2009-12-22 |