| NPI | 1750968616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01097425A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U7091) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-07-24 |