| NPI | 1326675307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1018662) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A204187) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-09-18 |