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 |