| NPI | 1386871770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P5265) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A113717) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2013-03-05 |