NPI | 1275531717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G55264) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G55264) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2023-04-05 |