NPI | 1386272367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V4349) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 178018) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-27 |
Last Update Date | 2025-08-28 |