| NPI | 1295125995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A146772) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A146772) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-06-28 |