| NPI | 1245720986 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01085411A) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019825A) | 
| Enumeration Date | 2018-05-17 | 
| Last Update Date | 2023-09-15 |