NPI | 1932419116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA 120648) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 120648) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2014-08-09 |