| NPI | 1225052269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 34498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G75177) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-12-26 |