| NPI | 1831627439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A205946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101272063) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2026-07-08 |