| NPI | 1225471048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A134873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A134873) |
| 207L00000X Anesthesiology (Licence: NV 18013) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 18013) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-08-08 |