| NPI | 1588642656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A102183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 2002-0261) |
| 207L00000X Anesthesiology (Licence: AZ 29893) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-09-21 |