| NPI | 1336646439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A197941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101278157) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2026-03-03 |