NPI | 1518123348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A111152) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT MED-PHYS-LIC-34409) |
207L00000X Anesthesiology (Licence: TX Q2585) | |
207L00000X Anesthesiology (Licence: CA A111152) | |
Enumeration Date | 2008-07-31 |
Last Update Date | 2024-10-10 |