| NPI | 1376923359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01083484A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.156337) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020054A) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-01-19 |