| NPI | 1194105890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 16363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 16363) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-10-11 |