| NPI | 1356353247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G48518) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G48518) |
| 207LA0401X Anesthesiology Addiction Medicine (Licence: CA G48518) | |
| 207R00000X Internal Medicine (Licence: CA G48518) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-10-12 |