| NPI | 1780657114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 9754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A53405) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-08-23 |