| NPI | 1174085922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 185814) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 185814) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-08-26 |