| NPI | 1609812908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 62058) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A77296) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-01-24 |