| NPI | 1750330064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 67916) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A78620) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-10-01 |