NPI | 1982269429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS21117) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036165606) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2024-09-05 |