| NPI | 1740461409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD28673) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A92075) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2018-10-10 |