NPI | 1649526583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 006250) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2194) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-30 |
Last Update Date | 2017-07-24 |