| NPI | 1245673268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 57196) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 147412) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2025-01-10 |