| NPI | 1114330156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A141641) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD55965) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2025-10-21 |