| NPI | 1194284422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A182563) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A182563) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2024-09-09 |