| NPI | 1265772537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A129129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A129129) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-02-27 |