NPI | 1336609437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD222760) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: UT 12950261-1205) | |
Enumeration Date | 2019-03-23 |
Last Update Date | 2025-06-30 |