| NPI | 1427290717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A98466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD151167) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-02-04 |