NPI | 1528357746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301111950) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0013103) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-29 |
Last Update Date | 2022-07-21 |