| NPI | 1285880815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 48065) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01067322A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2016-09-08 |