NPI | 1699017954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U1283) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 34.012741) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2025-07-30 |