| NPI | 1609518927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0106367) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2026-05-17 |