| NPI | 1992826838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A9945) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SD 7794) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-12-05 |