| NPI | 1407234941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A165293) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV A165293) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-09-02 |