| NPI | 1144751983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A175733) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0076487) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2026-03-10 |