| NPI | 1063705242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A122091) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: CA A122091) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2024-04-11 |