| NPI | 1003884305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 19522) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A83946) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2024-04-01 |