| NPI | 1164479309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA A53866) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A53866) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-11 |