NPI | 1174082309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS20215) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: WA OP61388742) | |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-07-03 |