| NPI | 1447264023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C140968) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238378) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101238378) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-05-11 |