NPI | 1396036588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A123555) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: CA A123555) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A123555) | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2016-11-01 |