| NPI | 1003445115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 60610) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 60610) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01096300A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-06-25 |