NPI | 1134613383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018018657) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2021-05-06 |