| NPI | 1518391218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 10308750-1250) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A133105) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2018-02-27 |