| NPI | 1457662553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A134654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 258635) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2026-04-20 |