| NPI | 1467512590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA C55940) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA C55940) |
| 207L00000X Anesthesiology (Licence: NV 10520) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NV 10520) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-04-11 |