| NPI | 1679967954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 02006054A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101021617) | 
| 207L00000X Anesthesiology (Licence: IN 11018774A) | |
| Enumeration Date | 2015-03-24 | 
| Last Update Date | 2021-12-17 |