NPI | 1518384999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 51649) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY TP711) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2022-05-18 |