| NPI | 1114948981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G9671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 7674) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-06-11 |