NPI | 1386089324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 04136) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 123456) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2022-07-21 |