| NPI | 1295202638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T7329) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A153561) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-09-19 |