| NPI | 1063488757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G202421) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 99-39) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2025-05-13 |