| NPI | 1861476822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A93874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L7341) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2019-09-24 |