| NPI | 1760511257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C173116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 243361) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-04-08 |