| NPI | 1083855720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD222767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 7656910-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2025-06-04 |