NPI | 1932145018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G22538) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G22538) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-01-10 |