NPI | 1750700290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A137719) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A137719) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD203486) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2021-05-16 |