| NPI | 1316038862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101288509) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A100231) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2026-07-20 |