| NPI | 1992970602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C199874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 260746) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2025-12-03 |