| NPI | 1184718447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A81844) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 000000A81844) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-04-30 |