| NPI | 1326185265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G85394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G85394) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2026-06-16 |