NPI | 1215270780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60578946) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML60380185) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-02 |
Last Update Date | 2017-10-09 |