NPI | 1194145664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 6485) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015822) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2018-12-14 |