| NPI | 1114248366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD21066) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A133479) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-05-09 |