NPI | 1568896405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2019-01528) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 226694) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2021-07-07 |