| NPI | 1487814117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2021009948) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A152486) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-04-01 |