| NPI | 1548767536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A174784) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 65560) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-07-20 |