| NPI | 1700848686 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01048110A) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01048110A) | 
| 208VP0000X (Licence: IN 01048110A) | |
| Enumeration Date | 2006-04-05 | 
| Last Update Date | 2024-03-01 |