| NPI | 1093165789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 326211) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A166567) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-12-22 |