NPI | 1336884881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX W0324) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP20084928) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10080657) | |
Enumeration Date | 2022-04-29 |
Last Update Date | 2025-07-29 |