| NPI | 1073977468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A152504) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 85168-20) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-01-17 |