NPI | 1235660606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 34496) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 285780) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2025-06-17 |