| NPI | 1235526237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S7963) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A161548) |
| 207L00000X Anesthesiology (Licence: WA ML60571400) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-12-29 |