| NPI | 1821526112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A183170) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 61939) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-01-23 |