| NPI | 1285617720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G131395) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 034450) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2022-05-03 |