| NPI | 1669664637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N4095) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A99044) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2020-09-18 |