| NPI | 1588695597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P5377) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A95355) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2026-03-11 |