NPI | 1538428156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301100362) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301100362) |
208M00000X Hospitalist (Licence: MI 4301100362) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-16 |
Last Update Date | 2017-05-04 |