| NPI | 1629531413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 9521) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 02007802A) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-07-25 |