| NPI | 1467816355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX S9890) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL MD.36278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-07-23 |