| NPI | 1316434434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A207813) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A207813) |
| 207L00000X Anesthesiology (Licence: TX U3652) | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2026-08-08 |