| NPI | 1932649860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC MD210002168) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA10835000) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: DC MD210002168) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA10835000) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2022-06-28 |