| NPI | 1457917387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V9770) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME161971) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-09-18 |