| NPI | 1497118046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A171129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 84738) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-07-14 |