NPI | 1023258969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO1468) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: TX N2499) | |
Enumeration Date | 2009-03-05 |
Last Update Date | 2015-09-24 |