| NPI | 1235543364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C197959) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 247365) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-11-27 |