| NPI | 1750351854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M4515) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A86380) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-06-27 |