| NPI | 1528225687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A106040) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N8914) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-12-06 |