NPI | 1336408582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 33502) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.32640) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2021-03-11 |