| NPI | 1689692774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 179635-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A96642) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-03-11 |