| NPI | 1437714854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A196629) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61547402) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-09-27 |