NPI | 1558755736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-158496) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME145781) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2022-12-21 |