| NPI | 1417375239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 64519) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A16637) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2022-07-22 |