| NPI | 1780984781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T4604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A127570) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-07-06 |