| NPI | 1457383564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 62781) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G070291) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-04-08 |