NPI | 1710637939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 1) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-04-01 |