| NPI | 1063690568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ID M-15501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A101819) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-09-29 |