NPI | 1306002761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A127144) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125054209) |
207L00000X Anesthesiology (Licence: CA A127144) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2018-10-01 |