NPI | 1053485557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A65222) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A65222) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2021-09-30 |