NPI | 1265877062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036162020) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301102500) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN MD57248) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-07 |
Last Update Date | 2022-09-01 |