| NPI | 1295148252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A154881) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD460618) |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2024-04-09 |