NPI | 1720513112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25mb10660700) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 307352-01) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-08-10 |