NPI | 1164621066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A104049) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A104049) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2020-01-06 |