| NPI | 1669433561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A86131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101235780) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2021-12-17 |