| NPI | 1215145032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A97662) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 99196) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-05-30 |