NPI | 1386899680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 5796) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: WY 8976A) | |
Enumeration Date | 2008-12-01 |
Last Update Date | 2020-09-24 |