NPI | 1164500658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A86301) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A86301) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-26 |