| NPI | 1992860142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A9103) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2266484-1) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-08-04 |