| NPI | 1861473779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C132555) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258571) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2024-05-24 |