| NPI | 1588978449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V6956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A69715) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2025-06-20 |