| NPI | 1295397925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A181272) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA Pending) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-10-06 |