| NPI | 1417146788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 136658) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 251185) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2021-12-21 |