NPI | 1508350265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 106274) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114689) |
Enumeration Date | 2018-06-17 |
Last Update Date | 2023-01-11 |