| NPI | 1083687354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A6754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 1096) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-10-31 |