NPI | 1417319732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U3449) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036152495) |
207L00000X Anesthesiology (Licence: NY 305291) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2024-08-13 |