| NPI | 1891140927 |
|---|---|
| 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: NY 306746) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-07-03 |