| NPI | 1841601911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-19647) | 
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MS 26537) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207L00000X Anesthesiology (Licence: AR E-19647) | |
| 207L00000X Anesthesiology (Licence: MS T-2844) | |
| Enumeration Date | 2014-05-12 | 
| Last Update Date | 2025-07-23 |