NPI | 1699346205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116037525) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2024-0136) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-03-28 |