| NPI | 1295232601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD224659) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A188011) |
| 207L00000X Anesthesiology (Licence: CO DR.0068788) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-08-12 |