NPI | 1053672311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 56386) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD21130) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2018-12-12 |