| NPI | 1851334171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G131466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD041884L) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-04-08 |