| NPI | 1679884860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 18543) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A119496) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-01-31 |