| NPI | 1487661625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME79059) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G84914) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-02-10 |