NPI | 1417151572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2011017817) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 50823) |
207L00000X Anesthesiology (Licence: AZ 42658) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2024-02-09 |