NPI | 1205161932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A110374) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A110374) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2021-06-09 |