| NPI | 1053803478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A175405) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 279054) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2023-08-08 |