| NPI | 1609894385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95132) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101239566) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-01-04 |