| NPI | 1316361538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD213605) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A152981) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-12-19 |