| NPI | 1710340153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 012433) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A23631) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2026-06-17 |