| NPI | 1033351382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA 20A13370) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A13370) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-03-21 |