| NPI | 1538487848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A141903) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2021-11-29 |