| NPI | 1023468220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A17232) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2016020425) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-12-20 |