NPI | 1518120583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A120480) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 120480) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2020-04-28 |