NPI | 1710340096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME158542) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD048478) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-03 |
Last Update Date | 2022-12-05 |