| NPI | 1629075080 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01047574A) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01047574A) | 
| Enumeration Date | 2005-06-30 | 
| Last Update Date | 2024-05-16 |