NPI | 1952906497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 95001518) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 814779) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2021-04-01 |