NPI | 1093939522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 5854) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 260849) |
207L00000X Anesthesiology (Licence: OH 34.009324) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2022-05-16 |