NPI | 1215170204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2016-01841) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101256526) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-07 |
Last Update Date | 2016-09-07 |