NPI | 1366975864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2022-01783) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101272024) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-09-17 |