NPI | 1811963051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G64609) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G64609) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2012-10-24 |