| NPI | 1316392467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 69455) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A168282) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-07-02 |