| NPI | 1932764503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 28370) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A180460) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-02-20 |