| NPI | 1861021644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A206018) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-54889) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-04-17 |