| NPI | 1083886881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C161824) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC md035605) |
| 207L00000X Anesthesiology (Licence: WI 47455-020) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-03-13 |