| NPI | 1558981662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A204209) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1019317) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-12-15 |