NPI | 1760877682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 291209) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 291209) |
207L00000X Anesthesiology (Licence: MA 283124) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-12-31 |