| NPI | 1851341804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G44002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G44002) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-11-09 |