| NPI | 1346240652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A79112) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-55821) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2026-07-30 |