NPI | 1720202054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95097) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A95097) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-07-17 |