| NPI | 1093247793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01088630A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A160652) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A160652) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-09-22 |