NPI | 1750525994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0059079) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101253791) |
207L00000X Anesthesiology (Licence: MA 257764) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-30 |
Last Update Date | 2019-11-19 |