| NPI | 1740623719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01078400A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI MDR-6524) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-12-11 |