| NPI | 1801281308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD482220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A146281) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-02-12 |