| NPI | 1063561926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0054218) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A83743) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-01-20 |