| NPI | 1447785712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A195404) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S9926) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2026-03-11 |