| NPI | 1306994132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G77917) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G077917) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-12-01 |