| NPI | 1275777641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A126542) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M6001) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2020-03-25 |