NPI | 1356578991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 201300968) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 156917) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 156917) | |
Enumeration Date | 2009-06-22 |
Last Update Date | 2023-03-23 |