| NPI | 1386617553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6432) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A82113) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-04-01 |