| NPI | 1255569836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A121504) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 246144) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2015-04-13 |