| NPI | 1942632542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A132034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0069458) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-03-24 |