| NPI | 1073549499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G58123) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0100027) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-04-18 |