| NPI | 1962691576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A99858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD181557) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-01-18 |