NPI | 1649628868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME145945) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2021016590) |
207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME145945) | |
207L00000X Anesthesiology (Licence: MO 2021016590) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2025-09-11 |