| NPI | 1720098775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101243362) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87768) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-06-30 |