| NPI | 1467472092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7577) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A85052) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-02-13 |