| NPI | 1760723035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO2875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A15532) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2021-05-14 |