| NPI | 1497383756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A198361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 34289) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-03-07 |