| NPI | 1821588344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1015238) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 1015238) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-05-10 |