| NPI | 1598990012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R6205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A114942) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-11-26 |