| NPI | 1952746604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A16399) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT014906) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-08-23 |