NPI | 1407418791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A181657) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A181657) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-08 |
Last Update Date | 2024-09-18 |