| NPI | 1255894671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO3287) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 19550) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-07-28 |