| NPI | 1942705470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023027404) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A19537) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-09-18 |