| NPI | 1386085710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 12917) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 274026) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-12-16 |