| NPI | 1750478681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A111738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN9552) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-12-19 |