| NPI | 1487914073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 92838) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A130048) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-08-19 |