| NPI | 1215099379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 12711) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A95682) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-07-28 |