NPI | 1104089242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.099377) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA mt190764) |
207L00000X Anesthesiology (Licence: PA MD443982) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2013-01-24 |