| NPI | 1104024330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A103582) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A103582) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-09-24 |