| NPI | 1982022539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0060637) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A138409) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-01-10 |