| NPI | 1629000369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 19317) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A43625) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-12-20 |