NPI | 1407078298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA C50311) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C50311) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2011-04-21 |