| NPI | 1306055231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A121797) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 121797) |
| 207L00000X Anesthesiology (Licence: CA 121797) | |
| 207L00000X Anesthesiology (Licence: WA MD60213673) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A121797) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-09 |