| NPI | 1982929923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A143579) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 274388) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2025-10-13 |