| NPI | 1427438670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A162212) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S0491) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-03-19 |