NPI | 1831367762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A9369) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A9369) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 20A9369) | |
Enumeration Date | 2008-02-13 |
Last Update Date | 2014-07-21 |