| NPI | 1275639122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 366647-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G-83928) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-01-27 |