| NPI | 1457644098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD195468) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A117484) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MD D78083) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A117484) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2023-10-16 |