NPI | 1568806404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 82947) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 9169418-1205) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-22 |
Last Update Date | 2019-08-30 |