| NPI | 1285692368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G47659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G47659) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-04-08 |