| NPI | 1295001782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A160522) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D81543) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-11-27 |