| NPI | 1447592498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2017-0779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2017-0779) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: NM MD2017-0779) | |
| 207R00000X Internal Medicine (Licence: NM MD2017-0779) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NM MD2017-0779) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2024-01-08 |