| NPI | 1922392679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C179364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 16004) |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2022-10-21 |