| NPI | 1851473268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C131803) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME96425) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-02-03 |