| NPI | 1477902419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A152545) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T0260) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-12-10 |