| NPI | 1134258395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD28219) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A93189) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-12-28 |