| NPI | 1932724101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 11021500A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351046829) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046829) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-05-25 |