NPI | 1467661272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C168527) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2011025920) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-11-27 |