| NPI | 1609622513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351052608) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351052608) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-05-24 |