NPI | 1215262795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A149928) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A149928) |
207LA0401X Anesthesiology, Addiction Medicine (Licence: CA A149928) | |
Enumeration Date | 2009-10-16 |
Last Update Date | 2024-08-08 |