| NPI | 1467837377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A163151) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A163151) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2024-09-30 |