| NPI | 1083816284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A100111) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME98944) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-07-16 |