| NPI | 1336408426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 52050) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 52050) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 250325) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2024-04-22 |