NPI | 1972893790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A108866) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A109866) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2024-07-09 |