| NPI | 1174508097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M7237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A689330) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-04-24 |