NPI | 1134486251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 10146495-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: OR MD222789) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2025-03-06 |