| NPI | 1760435606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G177262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 114028) |
| 207L00000X Anesthesiology (Licence: PA MD037703E) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-07-22 |