| NPI | 1649412925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 5193471-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A116384) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-08-23 |