NPI | 1366754251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA 144568) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 195115) |
207L00000X Anesthesiology (Licence: PA MD447752) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NV 15209) | |
207L00000X Anesthesiology (Licence: NV 15209) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD447752) | |
207L00000X Anesthesiology (Licence: MA 254943) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 254943) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2022-02-11 |