| NPI | 1003174368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 166991) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A140211) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-08-18 |