| NPI | 1164008504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01095285A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11021618A) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-02-02 |