| NPI | 1699829937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G88617) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 194291) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-08-05 |