| NPI | 1376528489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A827760) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA A82776) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2023-10-18 |