| NPI | 1821537044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02005811A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125078977) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-07-23 |