| NPI | 1588082481 |
|---|---|
| Former Name | PAYAM HEIRATYPOOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 27075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2021-01-12 |