| NPI | 1093202566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 21899) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP61303160) |
| 207L00000X Anesthesiology (Licence: WA OP61303160) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-03-04 |