NPI | 1851461248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G67965) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G67965) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2019-08-04 |