| NPI | 1407439177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA FH5927390) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2025-08-21 |