| NPI | 1033340492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IN 01088105A) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IN 01088105A) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WV 26417) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-07-13 |