| NPI | 1134462898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0089241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD463575) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101269743) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DC MD048488) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD463575) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57021190) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-09-23 |