| NPI | 1144286824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C53079) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D60834) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D60834) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2014-03-13 |