| NPI | 1316474968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A172600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2026-03046) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-07-17 |