| NPI | 1992357784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2023013931) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MTL005169) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2025-01-15 |