NPI | 1326594508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 125.075479) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 091610544) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2020-06-16 |