NPI | 1720056153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A55307) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A55307) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2020-04-09 |