NPI | 1275943029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 71926) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 282732) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-02 |
Last Update Date | 2024-08-19 |