NPI | 1871112565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 32692) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX V2428) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-07-10 |