| NPI | 1699716282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G128352) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60854517) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-07-03 |