| NPI | 1427290733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A99146) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD223553) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2025-03-27 |