NPI | 1467689687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5520) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101251470) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021581) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2020-07-14 |