| NPI | 1699112227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A156462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01077307A) |
| 207L00000X Anesthesiology (Licence: CA A156462) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01077307A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2024-06-07 |