NPI | 1033603550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301506834) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114619) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-08-14 |