| NPI | 1235329418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 154325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD157467) |
| 207L00000X Anesthesiology (Licence: WA ML20008886) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2018-05-30 |