| NPI | 1083269187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA SPI849) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA SP-0233) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-10-29 |