| NPI | 1336282474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 71793) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A65116) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-03-24 |