| NPI | 1568704245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 28427) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 150232) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-04-17 |