| NPI | 1235234071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A61154) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA a061154) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A61154) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-04-11 |