| NPI | 1659423192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A10207) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 225319) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-11-30 |