| NPI | 1578531430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A118967) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 2113-4697) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-04-10 |