| NPI | 1093782534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA C201199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 44386) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2025-08-06 |