| NPI | 1225234446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301504013) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A89831) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-07-12 |