| NPI | 1215974316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G55603) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 22820) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-06-08 |