NPI | 1871054346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A20942) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.074915) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.074915) | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2023-12-26 |