| NPI | 1346258753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G40259) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 027773) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2026-08-01 |