| NPI | 1821072034 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01092554A)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01092554A)  | 
| 207L00000X Anesthesiology (Licence: FL ME0058756)  | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME58756)  | |
| Enumeration Date | 2005-12-01 | 
| Last Update Date | 2024-05-17 |