NPI | 1427184233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G64135) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G64135) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2012-02-22 |