| NPI | 1225279151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS17262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34 010736) |
| 207L00000X Anesthesiology (Licence: FL 17262) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-02-01 |