| NPI | 1275109704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA SPI672) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA F672) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-08-11 |