| NPI | 1063720506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A177742) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA SPI589) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2024-04-12 |