| NPI | 1902889173 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01036287) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01036287) | 
| Enumeration Date | 2005-11-22 | 
| Last Update Date | 2009-12-22 |