| NPI | 1326669276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A209789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0101574) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2026-07-08 |