| NPI | 1477521193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C138537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 10395) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-12-14 |