| NPI | 1467770453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 86774) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.31297) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2020-08-31 |