| NPI | 1184185449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A184257) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 60953456) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-04-09 |