| NPI | 1174183321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A182431) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351045624) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-04-08 |