| NPI | 1326133042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G69085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD29107) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-03-12 |