NPI | 1609132190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS14373) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS018114) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2023-11-13 |