| NPI | 1003092032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101248909) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A76514) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2015-01-14 |