| NPI | 1760411052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01054283A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01054283A) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-09-11 |