| NPI | 1720867294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-31 |