NPI | 1710913611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD172211) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 8185) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-10-11 |