| NPI | 1730541939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A154091) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD199180) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2023-10-08 |