| NPI | 1376543975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C54050) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 216520) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-02-27 |