NPI | 1205151776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TN 53194) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 53194) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-28 |
Last Update Date | 2018-06-07 |