NPI | 1295355063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101027678) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-02-02 |