NPI | 1972547511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G86121) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G86121) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2019-07-17 |