| NPI | 1447743232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02006712A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 510102407) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2022-10-17 |