| NPI | 1295934248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A90148) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T1790) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2026-07-17 |