| NPI | 1275777856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD177001) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A116792) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2018-10-10 |