| NPI | 1174533459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G83688) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101057251) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-03-04 |