| NPI | 1992783302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G58508) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G58508) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2025-03-12 |