NPI | 1326425224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12515932-1204) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR DO192390) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-29 |
Last Update Date | 2022-01-25 |