| NPI | 1760523351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12437597-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A89660) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A89660) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-11-29 |