| NPI | 1497087753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A110907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A110907) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2013-08-13 |