| NPI | 1083786313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A85241) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0065648) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-04-07 |