| NPI | 1609018944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2021-00666) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A118151) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-07-29 |