| NPI | 1609855949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G75795) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD9071) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2023-05-30 |