| NPI | 1407175763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01072829A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01072829) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11015407A) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2023-12-04 |