| NPI | 1316359672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 63341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A160433) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2022-03-25 |