| NPI | 1447833298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A203427) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101275874) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-08-18 |