| NPI | 1043742018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1019350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A157422) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-11-18 |