| NPI | 1730237595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C169806) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 058425) |
| 207L00000X Anesthesiology (Licence: FL me100520) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-12-10 |