NPI | 1316309024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 310126) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 125075336) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2021-10-19 |