NPI | 1518088459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MI 4301088009) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301088009) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088009) | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2011-08-09 |