NPI | 1306251343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007556) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R3657) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-28 |
Last Update Date | 2018-07-17 |