| NPI | 1528334729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 55782) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A141430) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2022-04-22 |