NPI | 1174642474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301087702) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301087702) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301087702) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087702) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2025-06-02 |