| NPI | 1134395064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 61543) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA F5455 (2113 Cert.)) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2022-03-16 |