| NPI | 1043700503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178478) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101280840) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-01-29 |