| NPI | 1083236368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A20497) |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2024-05-15 |