NPI | 1912061805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 130974) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 130974) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2015-08-18 |