NPI | 1609222843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A151038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151038) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-06 |
Last Update Date | 2024-04-12 |