NPI | 1821222456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 006049) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62825) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2024-09-19 |