| NPI | 1982749511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL 43849) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A116104) |
| 207L00000X Anesthesiology (Licence: AL 43849) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-04-05 |