| NPI | 1699279000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01087915A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.24566) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01087915A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-07-28 |