| NPI | 1932425584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 21936) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A120027) |
| 207L00000X Anesthesiology (Licence: MO 2024009803) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-04-16 |