| NPI | 1497941454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A81002) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A81002) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A81002) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A81002) | |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2017-09-27 |