| NPI | 1568752921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD206341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A125411) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-05-15 |