| NPI | 1356359392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 62912) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A95119) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-06-28 |