| NPI | 1942705694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 02007136A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02007136A) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-08-04 |