| NPI | 1184184988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A201257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A201257) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-10-13 |