| NPI | 1144240870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G58442) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD031505E) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |