| NPI | 1225298342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A122938) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60294395) |
| 208600000X Surgery (Licence: HI MDR-5481) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-09-12 |