NPI | 1780047639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD25583) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 30745) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-05-01 |