| NPI | 1346400116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA A114420) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX S1346) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2026-05-28 |