| NPI | 1972578524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C172779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 39356) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2026-05-07 |