| NPI | 1023055829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G28118) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G28118) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-11-13 |