| NPI | 1295152163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME153241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 287517-1) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 287517) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-05-12 |