| NPI | 1578096319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A203390) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-21737) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2026-02-19 |