NPI | 1477973501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD211240) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D85161) |
207L00000X Anesthesiology (Licence: VA 0101264514) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-04-10 |