NPI | 1801959549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 243050) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 230192) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2021-10-21 |