| NPI | 1275154650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.249944) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0027033) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-05-21 |