| NPI | 1841830569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 150-17) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2025-05-01 |