| NPI | 1962646018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 17080) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA a117276) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2021-01-25 |