| NPI | 1255542932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A113057) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R7817) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-01-14 |