| NPI | 1134559776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A142194) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A142194) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2017-07-14 |