NPI | 1700312550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 56963) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 56963) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-10-05 |