| NPI | 1245353697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A113661) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 24064) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-01-07 |