| NPI | 1720783491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.156654) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.156654) |
| 207P00000X Emergency Medicine (Licence: MS 37328) | |
| 207P00000X Emergency Medicine (Licence: OH 35.156654) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-07-29 |