| NPI | 1477741346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C167205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 53548) |
| 207L00000X Anesthesiology (Licence: NV 16336) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-04-08 |