| NPI | 1851488779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A110898) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL29009) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-04-11 |