NPI | 1124260963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 14982) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME 115022) | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2014-05-22 |