NPI | 1790170058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 285888) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 285888) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2022-11-02 |