| NPI | 1275744435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M5594) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A112703) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A112703) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX M5594) | |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-04-09 |