| NPI | 1669834602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A155754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GU MD-P-2023-001) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-10-30 |