| NPI | 1083642284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A73640) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 37264) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-28 |