NPI | 1174986434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 38008) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4351045824) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-03 |
Last Update Date | 2025-07-09 |