NPI | 1972035020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301509243) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036.155932) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 036.155932) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.155932) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2023-04-28 |