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 |