| NPI | 1013958305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME97261) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G59992) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-01-31 |