| NPI | 1285657015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J6003) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A62989) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-06-02 |