| NPI | 1174056691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 291098) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A171259) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-05-17 |