| NPI | 1285954578 |
|---|---|
| Other Name | CHANNING PARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C170507) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01073853A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11015365A) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2022-12-07 |