| NPI | 1386011005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS022255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C2-0023817) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-03-25 |