| NPI | 1528210952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A131414) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N5822) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2026-04-20 |