| NPI | 1720272693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A90692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 36760) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2022-09-27 |