NPI | 1316206022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301100258) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301100258) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-15 |
Last Update Date | 2017-06-16 |