| NPI | 1437326691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A114432) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 134536) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-12-01 |