| NPI | 1639349210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA a108285) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A108285) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 246842) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A108285) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2019-12-02 |