| NPI | 1548526478 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 1548526478) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016701A) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 18261) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-04 | 
| Last Update Date | 2021-07-28 |