NPI | 1992282404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME150511) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME150511) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-26 |
Last Update Date | 2024-09-18 |