| NPI | 1770077828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A195625) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2018017664) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-09-16 |