| NPI | 1093908832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A109892) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 234021) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2014-10-30 |