| NPI | 1841227006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 63654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G81685) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-05-16 |