| NPI | 1215517511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A206242) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 0000066885) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2026-02-20 |