| NPI | 1477840643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A134935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 16815) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-10-16 |