| NPI | 1093847683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A99688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A99588) |
| 207L00000X Anesthesiology (Licence: NC 200401116) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2012-10-19 |