| NPI | 1568496198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 8480) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 4352) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-12-15 |