| NPI | 1043482029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A85263) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA AFE85263) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: CA A85263) | |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2014-04-04 |