| NPI | 1144276924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A69416) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2006-00382) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-09-27 |