NPI | 1336414986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MD D84498) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: DC MD044020) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-15 |
Last Update Date | 2019-10-20 |