| NPI | 1992239792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A159882) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A159882) |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: CA A159882) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A159882) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-12-11 |