| NPI | 1659888386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A202674) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0100384) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A202674) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2025-09-02 |