| NPI | 1760034367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-15663) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207L00000X Anesthesiology (Licence: AR E-15663) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2022-09-29 |