NPI | 1366898918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 287617) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1366898918) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-12 |
Last Update Date | 2021-07-08 |