| NPI | 1649264383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01057470A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 32230) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01057470A) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-06-13 |