| NPI | 1821656299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO3672) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 1821656299) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA 20A19743) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-08-30 |