| NPI | 1437562949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 29830) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036146228) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 298303) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-08-31 |