| NPI | 1417238759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A124920) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 41543) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2022-11-07 |