NPI | 1265881494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 62111) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 265687) |
207L00000X Anesthesiology (Licence: MA 265687) | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2022-07-21 |