| NPI | 1629501994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 174441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2021-00747) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-08-14 |