| NPI | 1649625500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD26140) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A168636) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A168636) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-08-10 |