| NPI | 1790741171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A86846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 213616) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-11-29 |