NPI | 1194042960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD187481) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 303394) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-03 |
Last Update Date | 2019-01-29 |