| NPI | 1861952491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0073263) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A186243) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-29 |