NPI | 1144724733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 337053) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: LA 337053) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2023-08-27 |