| NPI | 1518911809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A103974) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 223100) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-06-04 |