NPI | 1316332166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A162556) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA A162556) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-03-14 |