| NPI | 1306228853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD197425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A162035) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-07-03 |