NPI | 1093132938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 303114) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 26987) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-27 |
Last Update Date | 2019-09-09 |