| 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 |