| NPI | 1033221890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G78848) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA g078848) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-08-29 |