| NPI | 1932487063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA 20A14134) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A14134) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2023-11-27 |