| NPI | 1033385307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 16636) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A70052) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-03-17 |