| NPI | 1942542923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A159861) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 274320) |
| 207L00000X Anesthesiology (Licence: NY 301638) | |
| 207L00000X Anesthesiology (Licence: CA A159861) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 301638) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A159861) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2024-04-11 |