NPI | 1437416781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CT 64788) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101262490) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101262490) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-11 |
Last Update Date | 2020-02-03 |