| NPI | 1912084369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01061124A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 74402-20) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 74402-20) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-10-25 |