NPI | 1376885285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D82603) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 276167) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-19 |
Last Update Date | 2018-05-08 |