| NPI | 1316093990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 199322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 45025) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-10-10 |