| NPI | 1679787295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A99340) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD28039) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-05-17 |