| NPI | 1548303654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD198320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A87610) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-07-30 |