| NPI | 1841551124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A140044) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT201311) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-04-12 |