| NPI | 1760642714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD154238) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A104957) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-10-18 |