| NPI | 1750900312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IN 01096950A) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-08-01 |