| NPI | 1386003515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12900126-1204) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A18231) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-07-17 |