| NPI | 1487065108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A170600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD045378) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-06-07 |