| NPI | 1649280272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A9311) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A9311) |
| 208U00000X Clinical Pharmacology (Licence: CA 20A9311) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA 20A9311) | |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA 20A9311) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-04-28 |