| NPI | 1831439231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A122695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D75179) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2021-12-06 |