| NPI | 1952585895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C193436) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N8819) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-02-29 |