| NPI | 1912141938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101249249) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A130537) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2025-08-26 |