| NPI | 1598947780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R5572) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01069560A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2024-11-21 |