NPI | 1770102451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IA MD-53065) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IA MD-53065) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-06-21 |