| NPI | 1861635278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-55113) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A106089) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2025-06-05 |