| NPI | 1306896485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A8356) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS013288) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-12-13 |