| NPI | 1760773279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U5016) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A113918) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-09-22 |