| NPI | 1285083253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A185409) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 299212) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2025-10-13 |