| NPI | 1194958389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A142466) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A142466) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2022-08-12 |