| NPI | 1841264272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A54113) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 11388) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-07-08 |