| NPI | 1932156684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A39152) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 43857) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-08-15 |