NPI | 1902876733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 227415) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 227414) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 48735) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 48735) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2021-03-04 |