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 |