| NPI | 1356715262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A179405) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 179405) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-08-11 |