NPI | 1295129369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.132189) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.132189) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 0002216264) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2021-08-12 |