NPI | 1598820706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA 20A 10138) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 35903790) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2024-11-19 |