| NPI | 1891256012 |
|---|---|
| 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: OH 34.015925) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-05-31 |