| NPI | 1073680963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8104) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A77865) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-27 |