| NPI | 1174937353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 287013) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A138434) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-07-16 |