| NPI | 1932786662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1028846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A24245) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 1028846) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-08-27 |