NPI | 1073725792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101245562) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017463) |
207L00000X Anesthesiology (Licence: MA 243681) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2010-07-06 |