| NPI | 1417448697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101275864) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: VA 0101275864) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-02-23 |