| NPI | 1679870554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2872) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 10684) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2016-01-13 |