NPI | 1629011762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A82916) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A82916) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2021-11-05 |