| NPI | 1356723761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A162535) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2015018537) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A162535) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-04-10 |