| NPI | 1134532203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A153364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-259259) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-01-01 |