| NPI | 1649236076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A77809) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 29982) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-02-22 |