NPI | 1669613816 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A103097) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A103097) |
207LP2900X Anesthesiology, Pain Medicine (Licence: CA A103097) | |
Enumeration Date | 2009-03-18 |
Last Update Date | 2024-07-01 |