| NPI | 1235101379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A84394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101241808) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2014-04-30 |