| NPI | 1083007660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A158907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA F 459) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2024-09-18 |