| NPI | 1992912489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A101035) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX m5725) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-11-29 |