| NPI | 1841873940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 75731) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-05-06 |