| NPI | 1154505774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A107174) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A107174) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2013-10-08 |