| NPI | 1376866335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A 119464) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0053898) |
| 207L00000X Anesthesiology (Licence: WA MD.MD.60837534) | |
| 208D00000X General Practice (Licence: CA A119464) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2024-02-28 |