| NPI | 1548675259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A162868) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A162868) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A162868) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-04-11 |