| NPI | 1902893977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A13084) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS009910L) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2024-08-28 |