NPI | 1073876371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 55629) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 106285) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2020-08-04 |