NPI | 1265096937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 89740) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-27 |
Last Update Date | 2023-12-20 |