NPI | 1780144287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 011009) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY PENDING) |
207L00000X Anesthesiology (Licence: NY 324099) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-07-03 |