| NPI | 1326250028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD28154) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A94544) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-02-25 |