| NPI | 1528386943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01079385B) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME141243) |
| 207L00000X Anesthesiology (Licence: OH 35.123521) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2023-02-02 |