| NPI | 1992864573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A36778) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD221596) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2025-09-04 |