| NPI | 1306989934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G70851) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S9688) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-01-17 |