| NPI | 1194176404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 157480) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101267244) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-06-09 |