| NPI | 1518353473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A18100) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM A-2348-20) |
| 207L00000X Anesthesiology (Licence: NM A-2348-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM R-11-2015) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-01-04 |