NPI | 1316238694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME123185) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: IN 01091924A) | |
Enumeration Date | 2011-04-21 |
Last Update Date | 2024-02-09 |