NPI | 1457715047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 5305) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IA DO-05342) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-03-21 |