| NPI | 1124016589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 15807) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G37414) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-06-04 |