| NPI | 1962727347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A129090) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD451043) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2020-07-13 |