| NPI | 1720200181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01065378A) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183872) | 
| Enumeration Date | 2007-05-03 | 
| Last Update Date | 2023-03-28 |