| NPI | 1922567726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A178647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 61518700) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-11 |