| NPI | 1417477712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 26325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA a183858) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-08-04 |