| NPI | 1346282118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2024-0408) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G69007) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-09-11 |