| NPI | 1699703504 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01060995A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A81303) | 
| Enumeration Date | 2006-06-29 | 
| Last Update Date | 2023-06-08 |