NPI | 1184865404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95687) |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA A95687) |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A95687) | |
208D00000X General Practice (Licence: CA A95687) | |
Enumeration Date | 2009-03-17 |
Last Update Date | 2013-05-29 |