| NPI | 1922201508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA a107955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a107955) |
| 207L00000X Anesthesiology (Licence: CA A107955) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-06-04 |