| NPI | 1982962783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA DO-04703) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.011133) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 22306) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2023-10-06 |