| NPI | 1235525379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD049039) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD049039) |
| 207R00000X Internal Medicine (Licence: MD D90584) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-05-07 |