NPI | 1922414911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 51529) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 51529) |
208VP0000X Pain Medicine, Pain Medicine (Licence: KY 51529) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 51529) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-10 |
Last Update Date | 2022-12-13 |