| NPI | 1013353473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A15434) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA DO-07104) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2025-07-17 |