NPI | 1255472908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G47384) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G47384) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2017-04-05 |