NPI | 1821559162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD218859) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A184717) |
207L00000X Anesthesiology (Licence: OH 35.143505) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2024-10-28 |