| NPI | 1942396940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A96968) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0067474) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-11-19 |