NPI | 1952330136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A72568) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A72568) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2015-02-19 |