| NPI | 1740248566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 55247) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 40900-020) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-11-29 |