NPI | 1386902005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60720659) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD60720659) |
390200000X Student in an Organized Health Care Education/Training Program | |
207L00000X Anesthesiology (Licence: TN 54775) | |
Enumeration Date | 2012-05-01 |
Last Update Date | 2018-07-26 |