NPI | 1700234812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 54754) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TL0008424) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2021-01-12 |