| NPI | 1043692478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01083292A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109615) |
| 208600000X Surgery (Licence: MI 4301109615) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-11-16 |