NPI | 1912435355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A18689) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0006678) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2022-07-21 |