| NPI | 1710284328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD182355) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A106109) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-02-04 |