NPI | 1942276803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G67914) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G67914) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2009-04-30 |