NPI | 1881190775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 93281) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 30279) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-09-24 |