| NPI | 1942620315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A159432) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 53529) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-02-07 |