| NPI | 1164534103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A101692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20008377) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-30 |