| NPI | 1821408865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A139030) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101273213) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2023-12-14 |