| NPI | 1598793309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G84913) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD218710) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-09-24 |