| NPI | 1770014185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A184286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-14028) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-07-10 |